A How To Guide On Accessing A Mediport In Hospice
This guide will review the supplies required as well as the procedure for accessing a mediport for a hospice care patient.
- Central line dressing kit
- Non-coring huber needle
- Needleless injection cap
- Saline & heparin flushes
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- Wash hands
- Explain procedure to patient
- Position patient for comfort and access
- Assess site
- Locate port and palpate for needle placement
- Open central line kit, huber needle, and injection cap (keep sterile)
- Don mask
- Don sterile gloves (maintain strict sterility after putting on gloves)
- Cleanse area with chloraprep allowing to air dry (if using kit with alcohol and betadine use alcohol then betadine and allow both to dry)
- Insert huber needle (make sure clamp is closed)
- Apply skin prep to area around port avoiding insertion site
- Cover with sterile transparent dressing
- Add needleless injection cap
- Flush per protocol after aspirating for blood return
- Label with date, initials, and needle gauge & length
- Document procedure
*A nurse should never access an implanted port unless he/she has demonstrated competency by successfully accessing a port with another nurse competent in port access.
*The IV Team is available for port access training via joint visits with the nurse.
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